Give me a disease!
The most common primary bone cancer
What is multiple myeloma
Muscle testing can lead to what four major types of diagnoses
What is:
Radiculopathy
Neuropathy
Myelopathy
Muscle strains
These two spinal ligaments are most prone to sprains
What is the supraspinous and interspinous ligaments
What is a myospasm
Your 25-year-old patient has had several occasions of “leaking” and wetting his pants, unilateral tingling and sometimes burning in the perineal region aggravated by sitting all day, but no back or leg pain. What's wrong with him!?
What is Aclock's syndrome
An ESR >100 may indicate these 3 things
What is:
Multiple myeloma
Temporal arteritis
Polymyalgia rheumatica
What is the term for muscle weakness with tremor
How long does it take a mild lumbar sprain to resolve? What about a more severe sprain?
What is a couple of days for mild, and one to two weeks for more severe (up to 4-6 weeks)
Prevalence of myofascial pain in a primary care setting
What is 30%
Patient has low back pain and pain into his left buttock. Sitting brings on his pain rapidly. Kemp’s test bilaterally is positive for back pain. Valsalva is negative. If he lies on his back with his knees dropped over to the left, his buttock pain disappears (see picture). SLR is negative and sensory, motor and reflex tests are unremarkable. SI tests are negative. What is wrong with him?!
What is disc derangement
What percentage of metastatic bone tutors have an abnormal x-ray on the first visit
What is 68%
Mensuration is an assesment of what muscle quality
What is mass
What do you use to grade the severity of low back sprains?
What is having the pt do full range of motion 3x and applying moist heat
Your patient has LBP from overuse at work where he is required to do a lot of bending. It hurts at the end of the day. Sitting and lying down gives him pain relief as well as taking a few days off work. He has no leg symptoms. His SLR and neuro exam is WNL as is most of the orthopedic exam (Valsalva, Kemps, double leg raise) except for knees to chest if held for about 30 seconds. Palpation of his back is negative except for evidence of some joint restrictions. What is wrong with him
What is a postural sprain
Serious condition that can result in a patient having to sleep in a chair
What is malignant retroperitoneal lymphadenopathy
If your patient presents with foot drop where in the nervous system could her lesion be?
What is:
L4 or L5 nerve root
Common peroneal nerve
Which lumbar muscle is most likely to have MFTPs
What is QL
Your patient has LBP from overuse at work where he is required to do a lot of bending. It hurts at the end of the day. Sitting and lying down gives him pain relief as well as taking a few days off work. He has no leg symptoms. His SLR and neuro exam is WNL as is most of the orthopedic exam (Valsalva, Kemps, double leg raise) except for knees to chest if held for about 30 seconds. Palpation of his back is negative except for evidence of some joint restrictions. What is wrong with him?
What is a medial disc herniation affecting L5 and S1 nerve roots
Blood tests to order if you suspect cancer
What is:
ESR (and/or CRP)
CBC
Blood chemistry panel (esp calcium, ALP, protein)
What peripheral nerve may be damaged if you have trouble walking on your heels
What is the deep peroneal nerve
What kind of injury is likely from a slip and fall on the buttocks
What is sprain
What is latent
Patient has low back pain, groin pain, and pain that extends to his calf. Right rotation and rotation combined with extension hurts. Sitting is aggravating but not as much as prolonged standing. SLR is negative and sensory, motor and reflex tests are unremarkable. Sacroiliac (SI) tests are negative.
What is facet syndrome